Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geisinger Clinic

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1255362778

Geisinger Clinic is a Geriatric Medicine (Family Medicine) Physician in Kingston, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

499 Wyoming Ave
Kingston, PA 18704-3602
Phone: (570) 283-2161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X
Clinical Medical Laboratory Taxonomy 291U00000X (PA)

Record details

NPI number1255362778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Mull — Director · (570) 271-6144
NPI enumeratedJuly 5, 2006
Last updated in NPPESAugust 19, 2019
Mailing address100 N Academy Ave, Danville, PA 17822-4903

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